Specialty Physician Billing & Reimbursement Expert

CMP01 Mount Sinai Medical Center of Florida, Inc.; United States; On-site; USD 45,000 - 72,000; Full time

Benefits offered by this job

Health benefits

Life insurance

Long-term disability coverage

Healthcare spending accounts

Retirement plan

Paid time off

Pet Insurance

Tuition reimbursement

Employee assistance program

Wellness program

On-site housing for select positions

Job summary

Mount Sinai Medical Center of Florida, Inc. in Miami is seeking a Specialty Collector to research and resolve complex physician billing accounts with a focus on underpaid claims and reimbursement variances. You will compare payer payments against contracted rates and pursue corrections.

Join a large, not-for-profit hospital network dedicated to clinical excellence and continuous improvement. The role offers growth within our physician billing team and exposure to Epic workflows and payer

Qualifications

• High School Graduate or equivalent level of training.
• Minimum of one year of healthcare collections experience with payer knowledge.
• Epic Physician Billing experience preferred.

Responsibilities

• Researches underpaid claims and compares payer reimbursements against applicable contracted reimbursement rates to identify payment variances and recovery opportunities.
• Reviews managed care payments for accuracy and investigates discrepancies between expected and actual reimbursement.
• Identifies and investigates payer processing errors, reimbursement discrepancies, and claim adjudication issues affecting payment.
• Initiates and escalates reimbursement disputes and pursues corrected payments, claim reprocessing, and retroactive adjustments.
• Collaborates with leadership to resolve complex reimbursement and claim-related issues.
• Maintains clear documentation describing issues, research, actions, and follow-up.

Skills

Research underpaid claims

Payer reimbursement

Epic Physician Billing

Dispute resolution

Education

High School diploma

Tools

Epic Systems

Job description

Mount Sinai Medical Center of Florida, Inc. in Miami is seeking a Specialty Collector to research and resolve complex physician billing accounts with a focus on underpaid claims and reimbursement variances. You will compare payer payments against contracted rates and pursue corrections.

Join a large, not-for-profit hospital network dedicated to clinical excellence and continuous improvement. The role offers growth within our physician billing team and exposure to Epic workflows and payer